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Iowa rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.29 / $1,619.21 / $1,619.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.08 / $943.93 / $1,343.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $913.06 / $1,861.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.06 / $2,241.00 / $2,801.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.40 / $1,893.80 / $2,006.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.01 / $2,199.60 / $7,602.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.88 / $1,029.34 / $2,311.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,855.75 / $1,861.20 / $2,230.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.34 / $2,174.13 / $3,556.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.88 / $852.78 / $1,990.86
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,658.16 / $1,658.16 / $1,658.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.95 / $1,658.16 / $1,658.16